<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Card_entity_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-card_entity_id" data-rule="required" data-source="card/entity/index" class="form-control selectpage" name="row[card_entity_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Transfer_num')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-transfer_num" class="form-control" name="row[transfer_num]" type="number" value="0">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Transfer_data')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="transferDataList" item="vo"}
            <label for="row[transfer_data]-{$key}"><input id="row[transfer_data]-{$key}" name="row[transfer_data]" type="radio" value="{$key}" {in name="key" value="0"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Card_dealer_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-card_dealer_id" data-rule="required" data-source="card/dealer/index" class="form-control selectpage" name="row[card_dealer_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
